摘要
目的探讨宫腔镜诊断子宫内膜息肉的临床价值。方法对106例患者因异常子宫出血、宫腔内占位病变等先经B超检查，再采用宫腔镜检查并定位取材或进行诊断性刮宫术，取出的组织送病理学进行诊断。结果其中宫腔镜诊断子宫内膜息肉94例，经组织病理学确诊为77例，符合率为81．9％；B超提示子宫内膜息肉53例，经组织病理学确诊为35例，符合率为66．0％。宫腔镜诊断子宫内膜息肉的符合率高于B超（X^2=4．7096，P〈O．05）。结论宫腔镜检查子宫内膜息肉的准确性高于单纯B超检查，可以避免诊刮手术的盲目性，宫腔镜诊断子宫内膜息肉结合组织病理学诊断符合率高。
Objective To investigate the clinical value of hysteroscopy in diagnosing endometrial polyps. Methods One hundred and six cases of abnormal uterine bleeding or occupying lesions were examined by B-ultrasound first, and then they accepted hysteroseopy and diagnostic curettage. The tissues removed were sent for pathological examination. Results There were 94 cases diagnosed with endometrial polyps by hysteroseopy, and 77 were finally diagnosed by histopathology. The coincidence rate was 81. 9%. Fifty-three cases were diagnosed with B ultrasound, and 35 of them were finally diagnosed by histopathology with coincidence rate of 66.0%. The coincidence rate of hysteroscopy in diagnosing endometrial polyps was higher than that of B uhrasonography （X^2 = 4. 7096, P 〈 0.05 ）. Conclusion Hysteroseopy is more intuitive and accurate than B-uhrasonography, and the blindness of curettage can be avoided. The coincidence rate of hysteroscopy combining histopathology is high.
出处
《中国妇幼健康研究》
2012年第3期344-346,共3页
Chinese Journal of Woman and Child Health Research
关键词
宫腔镜
子宫内膜息肉
组织病理学诊断
临床价值
研究
hysteroscopy
endometrial polyps
histopathological diagnosis
clinical value
research
